Individual
ASHLEY CAROLE GUSHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 LOMOND CT, UTICA, NY 13502-5957
(315) 250-2444
Mailing address
130 LOMOND CT, UTICA, NY 13502-5957
(315) 250-2444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
907921141
NY
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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